Revision or possible removal - Bottoming Out/Lateral displacement? (Photos)

Dear swat08,

breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.
Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.
While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.
If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.


Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for your question. I have been in practice for over 30 years, and breast revision surgery is a large portion of my practice. I have seen 100's of cases similar to years who have had excellent outcomes. I would perform a internal bra/capsulorrhaphy procedure, reaugmentation with slightly larger implants, and revise your lift. You should be able have an excellent result. Best wishes to you.

Based on your post photos, best to do a virtual consultation, but revision of the complete surgery as necessary with correction of bottoming out and lateral capsule fee expect fee to arrange from $10,000-$15,000. Best of virtual console.

I would suggest going smaller. One implant is bottoming out which makes the nipple appear to be higher. Bottoming out occurs when the implant is too heavy for your tissue. I would suggest going down to 300-350, repairing the inferior low pocket and tightening your lateral pockets. Remember, you were not happy with your size before implants and may not be happy once removed.